Organization
COLORADO WEST HEALTHCARE SYSTEM
Active
Other names
Canyon View Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK THOMAS VEJRASKA PHARM.D., M.S. (DIRECTOR OF RETAIL PHARMACIES)
(970) 243-3400
Entity
Organization
Contact information
Practice address
2373 G RD, SUITE 120, GRAND JUNCTION, CO 81505-9641
(970) 644-4380
(970) 644-4394
Mailing address
2373 G RD, SUITE 120, GRAND JUNCTION, CO 81505-9641
(970) 644-4380
(970) 644-4394
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1680000055
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0623303
NCPDP
—
Enumeration date
03/20/2014
Last updated
05/07/2014
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